Effect of local urokinase on arterial occlusion of lower limbs.

Abstract:

:Sixty nine patients were treated with local intra-arterial urokinase (37,500 U/CTA. hr-1) for recent severe ischemia of lower limbs: 27 (40%) ultimately required amputation. The difference of amputation rate between the groups with and without thrombolysis was not significant (33% v. 42%). A biological study in 6 patients showed that local arterial plasminemia occurred in only 1 patient. Local urokinase does not strongly stimulate "endogenous" thrombolysis and enhances "exogenous" thrombolysis only very inconstantly. A better adaptation of urokinase dosage or the use of an agent with higher affinity for fibrin might improve the efficiency of local thrombolytic therapy.

journal_name

Thromb Haemost

authors

Fiessinger JN,Aiach M,Capron L,Devanlay M,Vayssairat M,Juillet Y

subject

Has Abstract

pub_date

1981-06-30 00:00:00

pages

230-2

issue

3

eissn

0340-6245

issn

2567-689X

journal_volume

45

pub_type

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